BLOGGERS: The Persistent Pulmonary Hypertension of the Newborn. PPHN LAWYERS!
Some babies suffer a kind of cardiopulmonary disorder (failure of the normal circulatory transition) in which the arteries of the child to the lungs remain constricted after delivery, limiting the amount of blood flow to the lungs and therefore the amount of oxygen into the bloodstream, this situation is called Persistent Pulmonary Hypertension of the Newborn (PPHN).
This syndrome PPHN is usually noted in term or post-term infants. The baby presents clinically with cyanosis and respiratory distress, with tachypnea, but with minimal retractions during the first day of life. The infants chest radiograph may be normal (as noted in infants with primary PPHN, i.e. PFC) or demonstrate various abnormalities compatible with aspiration, pneumonia, diaphragmatic hernia, or hyaline membrane disease. This path physiologic syndrome has been variously described as Persistent pulmonary vascular obstruction, Persistent fetal circulation, Pulmonary vasospasm, Neonatal pulmonary ischemia and Persistent transitional circulation.
The most appropriate treatment of Persistent Pulmonary Hypertension of the Newborn between another are the Improving alveolar oxygenation with supplemental oxygen (FiO2), Minimize inappropriate pulmonary vasoconstriction, Maintain systemic blood pressure and perfusion. Although this treatment, 10 to 20 percent of affected infants do not survive.
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